Benign adipose tumour
Most common mesenchymal neoplasm
- arise from normal fat
- appears during adulthood
80% subcutaneous
- shoulder girdle & proximal thigh most common sites
- well circumscribed mobile, round masse
Durcen's Disease
Pseudogout
- Calcium Pyrophosphate Dihydrate (CPPD) crystals
- inflammatory arthritis of older individuals
Acquired Adult Flatfoot Deformity (AAFD)
- collapse of medial longitudinal arch
- secondary to ligament / tendon / joint or bony pathology
Flexible / Physiological
Ligamentous Laxity (DIAL HOME)
Rigid
- Congenital Vertical Talus
- Tarsal Coalition
Lateral compartment of leg
- run through retromalleolar groove
- pass superior and inferior to peroneal tubercle
- covered by inferior peroneal retinaculum
Peroneus longus
- origin lateral condyle of tibia and head fibula
- tendon PL superficial and inferior to brevis in retromalleolar groove
- runs in cuboid groove
- insert plantar surface base of 1st MT and lateral aspect medial cuneiform
Anterior displacement of peroneal tendons out of peroneal groove
Most common in young adults
Acute injury often missed
Congenital
3 % neonates
- resolves spontaneously
Traumatic
Occurs following sporting activities
TCC’s heal ulcers by reducing pressure
- 1/3 of load is taken by wall of cast & transmitted to the leg
- 45% reduction in forefoot pressure but not heel pressure